Individual
CARRIE DAWN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1256 HOUSTON HOLLOW LONG RUN RD, C, LUCASVILLE, OH 45648-8426
(740) 727-4615
Mailing address
1256 C HOUSTON HOLLOW, LUCASVILLE, OH 45648
(740) 727-4615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN275141
OH
Other
Enumeration date
11/07/2005
Last updated
06/14/2010
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